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Free Practice Quiz Question List

3 Acute Respiratory Failure Online Quiz Questions

Use this free practice quiz with 20 questions to review 3 Acute Respiratory Failure, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: Acute respiratory failure can involve inadequate oxygenation, inadequate ventilation, or both.

  1. A

    True

  2. B

    False

02
Written response
1 point

What PaO₂ threshold, in mm Hg, can support a diagnosis of acute respiratory failure when the value is below that threshold?

03
Choose one
1 point

A patient with pneumonia develops diffuse lung opacities and a PaO₂ of 52 mm Hg despite supplemental oxygen. Which type of respiratory failure is most likely, and what mechanism may be contributing?

  1. A

    Hypercapnic failure from reduced respiratory drive

  2. B

    Hypoxemic failure from impaired gas exchange

  3. C

    Hypercapnic failure from metabolic alkalosis

  4. D

    Hypoxemic failure from excessive alveolar ventilation

04
Choose all
1 point

Which conditions are identified as possible causes of hypoxemia? Select all that apply.

  1. A

    Pneumonia

  2. B

    Pulmonary edema

  3. C

    Atelectasis

  4. D

    Pulmonary embolism

  5. E

    Acute respiratory distress syndrome (ARDS)

  6. F

    Opioid-related reduction in respiratory drive

05
Written response
1 point

With acidemia, what PaCO₂ threshold, in mm Hg, can support a diagnosis of acute respiratory failure when the value is above that threshold?

06
Choose one
1 point

An ABG shows pH 7.28, PaCO₂ 60 mm Hg, and HCO₃⁻ 26 mEq/L. Which interpretation best fits these results?

  1. A

    Acute respiratory acidosis with hypercapnia

  2. B

    Metabolic alkalosis with compensation

  3. C

    Respiratory alkalosis

  4. D

    Normal acid–base status

07
True or false
1 point

True or false: A PaCO₂ value should always be interpreted without considering the patient’s baseline or prior results.

  1. A

    True

  2. B

    False

08
Choose one
1 point

A patient has a low oxygen saturation and suspected acute respiratory failure. Which approach best evaluates the problem while initial treatment begins?

  1. A

    Obtain a chest radiograph and, when indicated, an ABG; assess the likely cause and treat hypoxemia without delaying for test results.

  2. B

    Wait for an ABG before giving oxygen.

  3. C

    Use pulse oximetry alone to determine the cause.

  4. D

    Order a chest radiograph only if the oxygen saturation is normal.

09
Choose all
1 point

Which findings in a patient with worsening shortness of breath can signal respiratory deterioration and call for prompt reassessment? Select all that apply.

  1. A

    Restlessness

  2. B

    Confusion

  3. C

    Tachypnea

  4. D

    Diaphoresis

  5. E

    Accessory-muscle use

  6. F

    A stable breathing pattern without increased work of breathing

10
True or false
1 point

True or false: Needed oxygen should be withheld from a patient solely because the patient’s CO₂ is elevated.

  1. A

    True

  2. B

    False

11
Fill in the blank
1 point

When noninvasive ventilation is used for a selected patient with COPD exacerbation and acute respiratory acidosis, it requires for response or deterioration.

12
Fill in the blank
1 point

Along with oxygenation and ventilation trends, airway security, and ordered parameters, ongoing care of a mechanically ventilated patient includes monitoring patient–ventilator .

13
Choose one
1 point

A patient with a COPD exacerbation is alert and cooperative but has respiratory distress and acute respiratory acidosis. Which treatment may be appropriate if there are no contraindications?

  1. A

    Noninvasive ventilation (NIV), with close reassessment for response or deterioration

  2. B

    Withhold oxygen because CO₂ is elevated.

  3. C

    Use NIV regardless of consciousness or ability to protect the airway.

  4. D

    Delay treatment until the PaCO₂ returns to normal spontaneously.

14
Open ended
1 point

A mechanically ventilated patient suddenly becomes hypoxemic and distressed. Describe the nurse’s immediate response, including patient assessment, equipment checks, and escalation.

15
Written response
1 point

A PaO₂ below what threshold, in mm Hg, can support a diagnosis of acute respiratory failure when interpreted in clinical context?

16
Choose one
1 point

A patient with worsening shortness of breath is restless, diaphoretic, tachypneic, and using accessory muscles, then becomes confused. What is the priority response?

  1. A

    Encourage oral fluids and reassess at the next scheduled check.

  2. B

    Reassess respiratory status and oxygenation immediately, provide prescribed oxygen, and escalate care.

  3. C

    Ask the patient to walk to assess exercise tolerance.

  4. D

    Wait for the next scheduled vital-sign check before intervening.

17
Choose one
1 point

A patient has low oxygen saturation and suspected acute respiratory failure. Which approach best evaluates the problem while initial treatment begins?

  1. A

    Obtain a chest radiograph and, when indicated, an ABG; assess the likely cause and treat hypoxemia without delaying for test results.

  2. B

    Wait for an ABG before giving oxygen.

  3. C

    Use pulse oximetry alone to determine the cause.

  4. D

    Order a chest radiograph only if the oxygen saturation is normal.

18
Choose one
1 point

A patient becomes hypoventilated after receiving an opioid. If respiratory failure develops, which classification and mechanism best fit?

  1. A

    Hypoxemic failure from impaired oxygen transfer

  2. B

    Hypoxemic failure from excessive alveolar ventilation

  3. C

    Hypercapnic failure from reduced respiratory drive

  4. D

    Hypercapnic failure from improved alveolar ventilation

19
Written response
1 point

A patient with a COPD exacerbation is alert and cooperative but has respiratory distress and acute respiratory acidosis. What type of respiratory support may be appropriate if there are no contraindications?

20
Choose one
1 point

A mechanically ventilated patient suddenly becomes hypoxemic and distressed. What should the nurse do first?

  1. A

    Assess the patient and airway, check oxygen delivery and ventilator connections, and call for immediate help while intervening within scope and local protocol.

  2. B

    Silence the alarm and leave the room to find the respiratory therapist.

  3. C

    Increase ventilator settings without assessment or authorization.

  4. D

    Disconnect the ventilator and wait for the alarm to stop.